Contract Details
Facility name
Thomas Medical Center
Provider ID
P000002473
Tax ID
636005358
Effective Date
8/1/1999
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
27961 Highway 98 Suite 21
Daphne, AL 36526
United States
County
Baldwin
Phone
2516266646 (Phone)
Billing Details
Address
P.O. Box 929
Fairhope, AL 36533
Billing Phone
2516266646
Specialty Type
Ambulatory Surgical Facility
Map
Address